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Claim Operator Jobs in Colorado (NOW HIRING)

Eberl

Desk Adjuster

Lakewood, CO · On-site

$50K/yr

This includes claim review and prior history, evaluating inspection documents, determining coverage ... operating office equipment, cell phone usage, walking, face to face discussions and web-based ...

Eberl

Desk Adjuster

Lakewood, CO · On-site

$50K/yr

This includes claim review and prior history, evaluating inspection documents, determining coverage ... operating office equipment, cell phone usage, walking, face to face discussions and web-based ...

Deloitte

Epic Denials Management Operator

Colorado Springs, CO · Remote

$17.75 - $23.75/hr

Experience analyzing billing workflows, claim issues, or operational data The wage range for this ... Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ...

Deloitte

Epic Denials Management Operator

Denver, CO · Remote

$18.50 - $24.75/hr

Experience analyzing billing workflows, claim issues, or operational data The wage range for this ... Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ...

Molson Coors

$23/hr

... Receiving Operator I; working in Denver, CO you will be part of the Operations Team. You will ... Receive all breakage by properly filling out a claim form to verify that all is written off or ...

K&D Development

Be Seen First

Project Manager

Denver, CO · On-site

$60K - $65K/yr

Insurance Claim Division Reports to : Insurance Division Team (Nick & Stacy), Office Manager, COO, CEO and Owner Effective Date: _____ Job Summary: A project manager is responsible for assisting the ...

Congruex

Workers Compensation Program Manager

Boulder, CO · On-site

$100K - $125K/yr

Design, document, and implement standard operating procedures (SOPs), process flow mapping, intake ... Analyze claim patterns to identify loss prevention opportunities. * Maintain accurate workers comp ...

ABC Legal Services

Legal Process Server

Denver, CO · On-site

... to claim jobs, map your stops, and track your pay. Who is ABC Legal? We are a premier legal services company operating nation-wide. Our clients are banks and law firms, but we are governed by the ...

ABC Legal Services

Legal Process Server

Denver, CO · On-site

... to claim jobs, map your stops, and track your pay. Who is ABC Legal? We are a premier legal services company operating nation-wide. Our clients are banks and law firms, but we are governed by the ...

ABC Legal Services

Legal Process Server

Aurora, CO · On-site

... to claim jobs, map your stops, and track your pay. Who is ABC Legal? We are a premier legal services company operating nation-wide. Our clients are banks and law firms, but we are governed by the ...

ABC Legal Services

Legal Process Server

Monument, CO · On-site

... to claim jobs, map your stops, and track your pay. Who is ABC Legal? We are a premier legal services company operating nation-wide. Our clients are banks and law firms, but we are governed by the ...

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All JobsClaim Operator JobsClaim Operator Jobs in Colorado

Claim Operator information

What does a claim operator do?

A Claim Operator is responsible for processing and managing insurance claims. They review claim submissions, verify documentation for accuracy, and determine the validity of claims according to company policies. Claim Operators may also communicate with clients, adjusters, and other stakeholders to gather additional information or resolve issues. Their role helps ensure that claims are handled efficiently and fairly, contributing to customer satisfaction and the integrity of the insurance process.

What are the key skills and qualifications needed to thrive as a claim operator, and why are they important?

To thrive as a Claim Operator, you need strong analytical skills, attention to detail, and a foundational understanding of insurance processes, often supported by a high school diploma or equivalent. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, organization, and problem-solving abilities help in interacting with clients and resolving claims efficiently. These skills are crucial for accurately processing claims, ensuring customer satisfaction, and maintaining compliance with regulatory standards.

What are some common challenges a claim operator faces in managing insurance claims, and how can they be addressed?

Claim Operators often encounter challenges such as handling a high volume of claims, ensuring accuracy in documentation, and meeting strict deadlines. These challenges can be managed by developing strong organizational skills, utilizing claims management software efficiently, and maintaining clear communication with both clients and team members. Staying updated on regulatory changes and company policies also helps prevent errors and ensures compliance throughout the claims process.

What is the difference between Claim Operator vs Claims Adjuster?

AspectClaim OperatorClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require insurance licensesHigh school diploma; licensing or certification often required
Work EnvironmentInsurance companies, claims processing centersFieldwork and office settings, inspecting damages
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Common Search & ComparisonClaim OperatorClaims Adjuster

Claim Operators primarily handle the administrative processing of claims within insurance companies, focusing on data entry and documentation. Claims Adjusters, on the other hand, evaluate damages, inspect claims, and determine settlement amounts. While both roles require insurance knowledge and sometimes licensing, Claim Operators focus on processing, whereas Claims Adjusters are more involved in assessment and decision-making.

What are popular job titles related to Claim Operator jobs in Colorado?

For Claim Operator jobs in Colorado, the most frequently searched job titles are:

What job categories do people searching Claim Operator jobs in Colorado look for?

The top searched job categories for Claim Operator jobs in Colorado are:

What cities in Colorado are hiring for Claim Operator jobs?

Cities in Colorado with the most Claim Operator job openings:

Claim Operator jobs near you

Desk Adjuster

Lakewood, CO • On-site

Eberl
See more jobs at Eberlexternal

$50K/yr

Full-time

Re-posted yesterday

Job description


Position Summary:
The Desk Adjuster manages the full lifecycle of assigned claims, serving as both the subject matter expert and primary point of contact for the insured. This includes claim review and prior history, evaluating inspection documents, determining coverage, assessing and communicating damage, setting reserves, issuing payments, and reaching settlements. The individual in this role maintains full ownership of each claim, ensures ongoing follow-up, and adheres to all compliance requirements until the claim is fully resolved.
Key Responsibilities:
  • Investigate claims by verifying facts through policy review, endorsements, and interviews with insured parties and other relevant individuals, and write estimates or denial based on coverage determination.
  • Review documentation for completeness, accuracy, and compliance with carrier policies
  • Ensure all collected information is accurate and identify potentially fraudulent activity, following up on discrepancies
  • Set appropriate reserves and recommend reasonable and accurate claim payments in a timely manner
  • Adhere to carrier Service Level Objectives (SLOs) and claim closure requirements
  • Draft and deliver clear, professionally written correspondence, including claim-related letters and communications
  • Exercise sound judgment and critical thinking to resolve complex claim issues
  • Communicate effectively and promptly with insureds, claimants, and internal stakeholders in a courteous and professional manner
  • Maintain detailed, organized file documentation to support the claim; when needed, make revisions and/or collaborate on files
  • Serve as technical subject matter expert and support team members by sharing knowledge and assisting with workload when needed
  • Prepare and submit all required claim documentation in a timely manner.
  • Provide regular updates on claim status to management and leadership and escalate to management when necessary following established procedures.
  • Attend and participate in training sessions, team meetings, and projects as needed.
  • Deliver excellent customer service and maintain a high level of professionalism in all interactions.
  • Adhere to all applicable State Insurance Regulation requirements and other applicable laws, regulations, and standards
  • Assume personal responsibility for maintaining the requisite state license for the state(s) assigned.
  • Perform additional duties as assigned

Qualifications:
  • High School Diploma or equivalent
  • Minimum of two years' experience in claim handling, estimating, and policy interpretation required
  • Experience handling claims in the California market is a plus
  • Proficient with complex claims handling procedures preferred
  • Must have experience handling weather water and non-weather water perils
  • Must be familiar with water mitigation practices
  • Proficient in Xactimate, Snapsheet and Guidewire CMS experience is a plus.
  • Proficient in writing estimates over the phone and from various sources
  • Proficient computer skills with Microsoft Word, Excel, PowerPoint, and Adobe Acrobat
  • Experience with taking recorded statements is a plus
  • Strong focus on customer service.
  • Self-motivated, and critical thinker who can work independently and use sound judgment to solve problems
  • Strong written and verbal communication skills
  • High level of time management skills
  • Ability to multitask and quickly adapt to changing/conflicting priorities
  • Excellent attention to detail
  • Strong relationship building skills and ability to work well with others
  • Possess the requisite state license for the state(s) assigned.

Physical Activities and Requirements
Work involves prolonged periods sitting at a desk; continuously working on a computer using manual dexterity; operating office equipment, cell phone usage, walking, face to face discussions and web-based meeting participation. Continuously requires vision, hearing and communication.
Schedule Availability
Willingness to work a varied schedule, as needed; may require weekend work days and accommodation of occasional meetings and work activities scheduled outside normal business hours
Salary: $50,000 + commission

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